PUBLIC SERVICE ANNOUNCEMENT: For those getting a prostate biopsy....

Posted by fritzo @fritzo, Feb 21 4:59pm

First-get your biospy. It's the most important thing you can do to get yourself treated to move past this difficult time. I'm just sharing info on my prostate cancer biopsy experience from a newby.

Things my doctor didn't tell me...

Yes, they told me to expect some blood when you urinate and poop for a few days after the biopsy But, they never mentioned blood when you ejaculate. Holy murder-was that incredibly disturbing. It's a lot of blood too, much more than urination. Goes on for a while too, but gets better over a few days (eventually changes color from bright red to a muted maroon and then goes away) So, be forewarned.

A positive is that they do a very good job at numbing you up before inserting the probe up your butt as you lay your side. They position the probe using a sonogram-like machine. Inside the probe is a spring-loaded needle that you don't really feel much because of the numbing shot, which I wholly appreciate. But, you can totally feel the pressure as they press the probe against your prostate...and then shortly after, they trigger the spring-loaded needle. So, after the first needle jab , I was wincing, awaiting the inevitable spring sound for the needle jab. So, it's more the sound than the actual poke that plays with your head. It's kind of akin to getting a glaucoma test at the eye doctor as you wait for the little poof of air...but, yeah, a whole lot different.

They had me take some valium before the procedure because I not a person enjoys things up my butt and tense up. I don't know if the valium helped or not, but guessing it made things better. Valium didn't affect me much, but I did feel sleepy later.

I'll also mention that I was under the impression that for most biopsies they do 12-15 core pokes. Mine was 24...so the whole time, I was like....OK, no doubt, they definitely know its cancer. Maybe they do more than the 12-15 as standard practice now, but it was what I had read.

Another thing I experienced is that even though I didn't need to get up at night to urinate, pre-procedure, I definitely did have to get up at night after the procedure for a while. I think it's because your prostate is angry after having 24 freaking holes poked in it. The good news is that settled down after a week or two. (yes, I"m fortunate not to have such an enlarged prostate that I have get up through the night).

So, perhaps you all get more info ahead of time...but that was my experience.

Big picture; You need the biopsy to get information because they can treat you and save your life. In my case, they found where the cancer was located and you want all the information you can get.

Extra factoid I just learned: You always hear that the size of prostate is the size of a walnut (20-30 cc). But that is only for men under the age of 30. But, by the age of 60, the prostate typically will grow to the size of a lemon or tennis ball (40-50 cc). In my case, I was 45cc. There's lots of variability by individual. But, yeah, a walnut sounds small. A tennis ball in your pelvis is definitely going to affect things. The good news is that an enlarged prostate does not mean you have cancer.

I figure knowledge may not be power as patients, but it does help you process what is happening.

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

I did my transperineal BX with just local anesthesia. Halfway through I asked for more numbing agent which made 2nd half a lot better. Still one of the worse experiences of my life!

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Profile picture for jc76 @jc76

@fritzo
We were all newbies at one point. PC is such a widely researched and discussion topic. I came on Mayo Community Connect (MCC) 3 years ago. I had not idea it was out there until I heard it at Mayo Jacksonville seminar on PC and it was mentioned.

My urologist tried to have mine done transrectal. I had no idea what was out there other than he going over the two types, why, and pros and cons. He did not want to do my transrectal as it would require being under anesthesia and he did not want to that as I have heart failure.

So he went over the two pros and cons and I decided then, no, I want it transperineally. So I contacted my heart failure (HF) specialist who encourages me to exercise and approves me doing Sprint Triathlons to contact my urologist as I wanted done transperineally. My heart failure doctor contacted him saying there was no negativity of me having anesthesia. Urologist then contacted me and said I was told no concern by your HF so we will do transperineally.

Again many on MCC will post did not have a problem with transrectal. But I did not want it being done through my rectum, and I wanted to be asleep, and when he told me there was 2% increase in infection rate but if I got infected would only have to spend a couple of days in hospital.

Good luck on your journey!!

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@jc76 Way to advocate for yourself and get the treatment you wanted. As far as transrectal, it's not the end of the world by a long shot. Just an eye opener when you're new to all of this.

Wow-sprint triathlons! I'd love to be do that someday. Got the bike riding and swimming down solid...but not much of a runner.

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Profile picture for jeff Marchi @jeffmarc

I had two 12 core biopsies and one 6 core biopsy. They were all rectal. I had no side effects at all after, none of the problems you describe. They did not give me Valium.. I drove home after they were done, No problems.

Side effects vary considerably.

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@jeffmarc Same for me. A non-event.

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I had a rectal 2 years ago and it was easy. Didn’t know I had another option at that time. Most pain was from the antibiotic shot in each hip. I actually enjoyed chatting with the urologist as she explained what she was doing. I had 5 cores in the lesion on the mri and 12 random. Only impact after was blood in semen (and of course a 4+3 cancer diagnosis)

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I had one transrectal biopsy and insisted in being knocked out. So I was sent to another sister hospital and had my 12 core biopsy done under general or at least very strong twilight anesthesia. I did not want to see or feel anything.

Procedure went fine and the only bad news was they did find two positive Gleeson 7 cores. I've since been treated and feel great. Hoping your outcomes are good as well!

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I've been getting up to pee at night for as long as I can remember. It was only after my CT scan last fall that I found out that I had an enlared prostate. Currently taking disasteride/dutasteride and low dose Cialis. Also mentioned a distended bladder FWIW.

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I had a transrectal biopsy around 10 years ago with a local painkiller. It was still pretty painful. In January I had a transpirineal biopsy with local painkiller killer. It was painful also. If I had to do another they would be knocking me out.

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Profile picture for kennyo @kennyo

I had a transrectal biopsy around 10 years ago with a local painkiller. It was still pretty painful. In January I had a transpirineal biopsy with local painkiller killer. It was painful also. If I had to do another they would be knocking me out.

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@kennyo I'm with you. My wasn't painful so much as uncomfortable. But two strikes...yeah, knock me out.

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Profile picture for capatov @capatov

I had one transrectal biopsy and insisted in being knocked out. So I was sent to another sister hospital and had my 12 core biopsy done under general or at least very strong twilight anesthesia. I did not want to see or feel anything.

Procedure went fine and the only bad news was they did find two positive Gleeson 7 cores. I've since been treated and feel great. Hoping your outcomes are good as well!

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@capatov Yeah, none of us wanted the news. So thrilled you're feel great after treatment. That's my hope....get through surgery and then hopefully go on with my life.

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Profile picture for jcf58 @jcf58

I had a rectal 2 years ago and it was easy. Didn’t know I had another option at that time. Most pain was from the antibiotic shot in each hip. I actually enjoyed chatting with the urologist as she explained what she was doing. I had 5 cores in the lesion on the mri and 12 random. Only impact after was blood in semen (and of course a 4+3 cancer diagnosis)

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@jcf58 Hah-nothing like chit chat as they probe away. Got to make the best of it for sure.

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